ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · PARK RIDGE, IL
Organization Active NPI 1447681242
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 228 | 814 | $59,938 | $58,623 | $58,623 |
| 2023 | 240 | 911 | $51,532 | $49,513 | $49,513 |
| 2022 | 317 | 1,135 | $35,213 | $34,584 | $34,584 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 196 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 192 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 172 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 131 | $144 | $144 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 64 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 19 | $18 | $18 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 18 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 054018493 | IL |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.